The Carriage House Clinic

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Staff regularly reviewed people’s care and there was extensive audit in place to ensure quality assurance and improvements. National guidance and legislation was followed in the planning and delivery of care.

This key question is rated as good.

This service scored 79 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Staff checked people’s medical history and any support needs they may have prior to planning care. National guidance was followed in care planning.

The service planned and delivered people’s care and treatment collaboratively, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Systems were in place to ensure staff were up to date with evidence-based guidance and legislation. The lead GP had extensive knowledge in menopause care and all GPs appropriate additional training in specific areas related to the care they delivered.

The service worked with other services, including NHS GP practices, to ensure continuity of care and mitigate risks related to duplication of and shared care arrangements.

The provider monitored all referrals and ensured appropriate information was shared and acted on.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce the need for healthcare interventions.

The service routinely monitored people’s care and treatment to maintain safe levels of care. They ensured that outcomes were positive and consistent, and that they met clinical expectations. Clinical standard operating procedures were in place and care was monitored in line with these via audits in all areas of care delivery. In addition, clinical record audits were used to assess the quality of consultations and patient assessments. Peer review requests were sent to services that the provider worked with to gain feedback and identify any improvements to quality and care.

Audit activity was repeated and used to identify if improvements were being made where needed and included as part of clinical governance meetings. For example, a testosterone prescribing audit identified 33 patients had received a prescription and 29 had been monitored in line with guidance and where patients were not, no prescribing took place in the periods of time where monitoring tests were overdue. Clinical record audits took place and staff were provided with feedback including any areas for improvement.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff understood the requirements of legislation and guidance when considering consent and decision making.